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psnet.ahrq.gov/issue/human-reliability-analysis-critique-and-review-managers
November 21, 2021 - Review
Human reliability analysis: a critique and review for managers.
Citation Text:
French S, Bedford T, Pollard SJT, et al. Human reliability analysis: A critique and review for managers. Saf Sci. 2011;49(6). doi:10.1016/j.ssci.2011.02.008.
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psnet.ahrq.gov/issue/managing-risk-hazardous-conditions-improvisation-not-enough
November 06, 2024 - Commentary
Managing risk in hazardous conditions: improvisation is not enough.
Citation Text:
Amalberti R, Vincent CA. Managing risk in hazardous conditions: improvisation is not enough. BMJ Qual Saf. 2020;29(1):60-63. doi:10.1136/bmjqs-2019-009443.
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psnet.ahrq.gov/issue/human-and-organizational-biases-affecting-management-safety
May 29, 2014 - Commentary
Human and organizational biases affecting the management of safety.
Citation Text:
Reiman T, Rollenhagen C. Human and organizational biases affecting the management of safety. Reliab Eng Syst Saf. 2011;96(10). doi:10.1016/j.ress.2011.05.010.
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psnet.ahrq.gov/issue/risk-management-pearls-disclosure-adverse-events
July 05, 2017 - Book/Report
Risk Management Pearls on Disclosure of Adverse Events.
Citation Text:
Risk Management Pearls on Disclosure of Adverse Events. Amori GH. Chicago, IL: American Society for Healthcare Risk Management; 2006.
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psnet.ahrq.gov/issue/safe-medication-management-ambulatory-surgery-centers
December 14, 2016 - Commentary
Safe medication management at ambulatory surgery centers.
Citation Text:
Ubaldi K. Safe Medication Management at Ambulatory Surgery Centers. AORN J. 2019;109(4):435-442. doi:10.1002/aorn.12635.
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psnet.ahrq.gov/issue/failed-spinal-anaesthesia-mechanisms-management-and-prevention
August 04, 2021 - Review
Failed spinal anaesthesia: mechanisms, management, and prevention.
Citation Text:
Fettes PDW, Jansson J-R, Wildsmith JAW. Failed spinal anaesthesia: mechanisms, management, and prevention. Br J Anaesth. 2009;102(6):739-48. doi:10.1093/bja/aep096.
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psnet.ahrq.gov/issue/its-always-something-hospital-nurses-managing-risk
September 29, 2017 - Study
It's always something: hospital nurses managing risk.
Citation Text:
Groves PS, Finfgeld-Connett D, Wakefield BJ. It's always something: hospital nurses managing risk. Clin Nurs Res. 2014;23(3):296-313. doi:10.1177/1054773812468755.
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psnet.ahrq.gov/issue/managing-patients-identical-names-same-ward
November 16, 2022 - Study
Managing patients with identical names in the same ward.
Citation Text:
Lee ACW, Leung M, So KT. Managing patients with identical names in the same ward. Int J Health Care Qual Assur Inc Leadersh Health Serv. 2005;18(1):15-23.
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psnet.ahrq.gov/sites/default/files/2024-06/spotlight_case_hemorrhagic_shock_slides_final.pptx
January 01, 2024 - This case presents several patient safety issues:
failure of the operative team to appropriately manage
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psnet.ahrq.gov/issue/managing-near-miss-reporting-hospitals-dynamics-between-staff-members-willingness-report-and
March 30, 2016 - Study
Managing near-miss reporting in hospitals: the dynamics between staff members’ willingness to report and management’s handling of near-miss events.
Citation Text:
Caspi H, Perlman Y, Westreich S. Managing near-miss reporting in hospitals: the dynamics between staff members’ willing…
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psnet.ahrq.gov/web-mm/hyperglycemia-and-switching-subcutaneous-insulin
May 19, 2021 - This required him to remain in the ICU for an additional day in order to adequately manage his hyperglycemia
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psnet.ahrq.gov/sites/default/files/2021-05/final_psnet_spotlight_inadvertent_bolus_of_norepinephrine_pp.pdf
January 01, 2021 - Practices in Management of Multiple IV Infusions (3)
Standardized Dosing
• Variations in how ICU nurses manage
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psnet.ahrq.gov/issue/what-do-we-really-know-about-crew-resource-management-healthcare-umbrella-review-crew
September 29, 2021 - Review
What do we really know about crew resource management in healthcare?: An umbrella review on crew resource management and its effectiveness.
Citation Text:
Buljac-Samardzic M, Dekker-van Doorn CM, Maynard MT. What do we really know about crew resource management in healthcare?: An …
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psnet.ahrq.gov/primer/coronavirus-disease-2019-covid-19-and-safety-older-adults
April 10, 2024 - federal government publications. 43 Additionally, NHs typically have fewer administrative staff to manage … Therefore, CMS initiated focused infection control (FIC) surveys to assess each NH’s readiness to manage … training to NH staff on the proper use of PPE, Create better guidelines on how to cohort residents and manage
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psnet.ahrq.gov/node/37276/psn-pdf
December 23, 2011 - Team management training using crisis resource
management results in perceived benefits by healthcare
workers.
December 23, 2011
Rudy SJ, Polomano R, Murray WB, et al. Team management training using crisis resource management
results in perceived benefits by healthcare workers. J Contin Educ Nurs. 2007;38(5):219-2…
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psnet.ahrq.gov/node/45698/psn-pdf
January 11, 2017 - Design and testing of the safety agenda mobile app for
managing health care managers' patient safety
responsibilities.
January 11, 2017
Mira JJ, Carrillo I, Fernandez C, et al. Design and Testing of the Safety Agenda Mobile App for Managing
Health Care Managers' Patient Safety Responsibilities. JMIR MHealth UHealt…
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psnet.ahrq.gov/node/60338/psn-pdf
May 20, 2020 - The application of strong matrix management and PDCA
cycle in the management of severe COVID-19 patients.
May 20, 2020
Li Y, Wang H, Jiao J. The application of strong matrix management and PDCA cycle in the management of
severe COVID-19 patients. Crit Care. 2020;24(1):157. doi:10.1186/s13054-020-02871-0.
https://p…
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psnet.ahrq.gov/node/35104/psn-pdf
April 06, 2011 - Crisis management during anaesthesia: the development
of an anaesthetic crisis management manual.
April 6, 2011
Runciman WB, Kluger MT, Morris RW, et al. Crisis management during anaesthesia: the development of
an anaesthetic crisis management manual. Qual Saf Health Care. 2005;14(3):e1.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/60621/psn-pdf
June 24, 2020 - Design and implementation of the infection prevention
program into risk management: managing high level
disinfection and sterilization in the outpatient setting.
June 24, 2020
Sweet W, Snyder D, Raymond M. Design and implementation of the infection prevention program into risk
management: Managing high level disin…
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psnet.ahrq.gov/node/37470/psn-pdf
January 16, 2008 - Iatrogenic disease management: moderating medication
errors and risks in a pharmacy benefit management
environment.
January 16, 2008
Nair V, Salmon JW, Kaul AF. Iatrogenic Disease Management: Moderating Medication Errors and Risks in
a Pharmacy Benefit Management Environment. Disease Management. 2007;10(6).
doi:1…